Objective To compare pseudoaccommodation after cataract phacoemulsification combined with the implantation of different intraocular lenses (IOLs). Methods In a prospective study, 73 patients (82 eyes) who had received IOL implants after cataract extraction were divided into three groups according to the implanted IOL: group 1, monofocal IOL, 28 patients, 32 eyes; group 2, multifocal IOL, 24 patients, 27 eyes; and group 3, accommodative IOL, 21 patients, 23 eyes. The uncorrected distance, intermediate and near visual acuity; best-corrected distance and near visual acuity; and pseudoaccommodation (respectively measured by Integrated Refractometer and iTrace Visual Function Analyzer 3.1) were measured. The data were collected at 3, 7, 30 and 90 days after surgery, and analyzed by a single-factor analysis of variance. Results The differences in the best-corrected distance visual acuity, near visual acuity and uncorrected distance visual acuity was not statistically significant, while uncorrected intermediate distance visual acuity of group 3 was better than groups 1 and 2 (F=4.50, P<0.05). The near visual acuity of groups 2 and 3 was better than group 1 (F=26.06, P<0.05). Subjective pseudoaccommodation of group 2 was 2.67±0.49 D and objective pseudoaccommodation was 0.93±0.42 D. Subjective pseudoaccommodation of group 3 was 3.0±0.78 D and objective pseudoaccommodation was 0.91±0.58 D. Both groups had better pseudoaccommodation than group 1 with 1.78±0.26 D for subjective pseudoaccommodation (F=18.51, P<0.05) and 0.37±0.22 D for objective pseudoaccommodation (F=7.39, P<0.05). Conclusion Multifocal and accommodative IOLs can temporarily provide better visual acuity and pseudoaccommodation.
张良,赵江月,冯莉,张劲松. 单焦点、多焦点与可调节人工晶状体植入术后患者的拟调节力观察[J]. 中华眼视光学与视觉科学杂志, 2013, 15(1): 21-25.
ZHANG Liang,ZHAO Jiang-yue,FENG Li,ZHANG Jin-song. Clinical study of pseudoaccommodation in patients after the implantation of different intraocular lenses. Chinese Journal of Optometry Ophthalmology and Visual Science, 2013, 15(1): 21-25. DOI: 10.3760/cma.j.issn.1674-845X.2013.01.006
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